Active NPI
Deshonna Mosley, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Lawrenceburg, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 883787
- Practice address
- 129 N Locust Ave
Lawrenceburg, TN 38464-3757 - Phone
- (855) 560-4999
- Fax
- (615) 988-1571
- NPI assigned
- Apr 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 883787 | MS | Primary |
Addresses
Primary practice location
129 N Locust Ave
Lawrenceburg, TN 38464-3757
Mailing address
PO Box 681029
Franklin, TN 37068-1029
Phone (855) 560-4999
Other practice location 1
1709 W Quitman St
Iuka, MS 38852-7365
Phone (855) 560-4999
Other practice location 2
2900 Gerstner Memorial Dr
Lake Charles, LA 70601-8162
Phone (855) 560-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07306565 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230126001604 | MS | Practitioner - Nurse Practitioner | 5395116594 | Reassigns benefits to 2 organizations |
| I20230404003056 | TN | Practitioner - Nurse Practitioner | 5395116594 | Reassigns benefits to 2 organizations |
| I20230816001562 | LA | Practitioner - Nurse Practitioner | 5395116594 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLCFast Pace Mississippi PLLC
Practice addresses (Care Compare)
4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321
50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33581 | TN | MD | Pharmacist |
| 883787 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Calcasieu Urgent Care, LLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Calcasieu Urgent Care LLC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Nurse Practitioner | Current | Accepting new patients |
Locations
2900 Gerstner Memorial Dr
Lake Charles, LA 70601
Phone (337) 485-4185
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
2640 Country Club Rd
Lake Charles, LA 70605
Phone (337) 426-0919
132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521
7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661
1709 W Quitman St
Iuka, MS 38852
Phone (662) 443-4122
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Ripley, MS
- NPI 1447769559
MS, Nurse Practitioner
-
- Foot & Ankle Surgery Podiatrist
- Hoover, AL
- NPI 1538686498
LA, MS, Nurse Practitioner, TN
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
-
- Urgent Care Clinic/Center
- Lincoln, AL
- NPI 1023773322
-
- Rural Health Clinic/Center
- Jackson, AL
- NPI 1033890132
-
- Rural Health Clinic/Center
- Lincoln, AL
- NPI 1043975345
-
- Rural Health Clinic/Center
- Sylacauga, AL
- NPI 1043975402
-
- Rural Health Clinic/Center
- Clanton, AL
- NPI 1215761341
-
- Rural Health Clinic/Center
- Enterprise, AL
- NPI 1265114094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1700528486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681029",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370681029",
"telephone_number": "855-560-4999",
"fax_number": "615-988-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 N LOCUST AVE",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384643757",
"telephone_number": "855-560-4999",
"fax_number": "615-988-1571"
}
],
"practiceLocations": [
{
"address_1": "1709 W Quitman St",
"address_purpose": "LOCATION",
"city": "Iuka",
"state": "MS",
"postal_code": "388527365",
"country_code": "US",
"telephone_number": "855-560-4999",
"fax_number": "615-988-1571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 Gerstner Memorial Dr",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706018162",
"country_code": "US",
"telephone_number": "855-560-4999",
"fax_number": "615-988-1571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSLEY",
"first_name": "DESHONNA",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "883787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07306565",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.